1. Laparoscopic Ventral Hernia Repair – IPOM plus

2. Port positions

3. Infra-umbilical incisional hernia with omental adhesions

4. Adhesiolysis

5. Division of median umbilical ligament & mobilisation of urinary bladder

6. Defect closure
Needle introduced through a stab wound made below the defect

7. Defect closure- intracorporeal continuous suturing

8. Defect closure in two layers

9. Suture pulled out using a suture passer needle introduced through the same stab wound and is tied extracorporeally

10. Composite mesh is introduced through 10mm trocar and spread out

11. Mesh is fixed by midline transfacial sutures and intracorporeal sutures

12. Completed repair